Healthcare Provider Details

I. General information

NPI: 1083776793
Provider Name (Legal Business Name): MUSIC JOURNEY MUSIC THERAPY SERVICES OF THE HIGH COUNTRY, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 HIGHWAY 105 EXT SUITE 202
BOONE NC
28607-4297
US

IV. Provider business mailing address

PO BOX 2923
BOONE NC
28607-2923
US

V. Phone/Fax

Practice location:
  • Phone: 828-964-6930
  • Fax: 336-846-1316
Mailing address:
  • Phone: 828-964-6930
  • Fax: 336-846-1316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. NICOLE HAHNA
Title or Position: MUSIC THERAPIST, MEMBER
Credential: MS, MT-BC, FAMI
Phone: 828-964-6930